| Regimental number | 6349 |
| Place of birth | Moonee Ponds Vic |
| Religion | Methodist |
| Occupation | Motor engineer |
| Address | 59 Delbridge Street, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs J Henry, 13 Edward Street, Essendon, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Battery 10 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |